Organization Active NPI

Jeffrey G Phillips Chiropractic Corporation

  • Chiropractor
  • Encinitas, CA
National Provider Identifier
1124275136
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC20745 Issued in CA
Legal business name
JEFFREY G PHILLIPS CHIROPRACTIC CORPORATION
Practice address
967 S Coast Highway 101
B109
Encinitas, CA 92024-4443
Phone
(760) 942-9505
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey G Phillips, DCNPI 1144365966
Title
President
Phone
(760) 942-9505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC20745 CA Primary

Addresses

Primary practice location

967 S Coast Highway 101
B109
Encinitas, CA 92024-4443

Mailing address

967 S Coast Highway 101
B109
Encinitas, CA 92024-4443
Phone (760) 942-9505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110111000510 CA Part B Supplier - Clinic/Group Practice 0648469304 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Locations

967 S Coast Hwy
Ste B109
Encinitas, CA 92024
Phone (760) 942-9505

967 S Coast Hwy
#101B109
Encinitas, CA 92024
Phone (760) 942-9505

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1124275136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 S COAST HIGHWAY 101",
            "address_2": "B109",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244443",
            "telephone_number": "760-942-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 S COAST HIGHWAY 101",
            "address_2": "B109",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244443",
            "telephone_number": "760-942-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY G PHILLIPS CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-942-9505",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.